condense this: Moreover, this restricted practice model raises concerns about the quality of care provided to patients with complex health needs. If NPs are unable to engage fully in the diagnostic and treatment processes, patients may experience suboptimal management of their conditions. The perception that certain decisions should exclusively rest with physicians may undermine the competency and expertise that NPs bring to patient care. Thus, the barriers not only restrict NPs' professional practice but also contribute to a systemic issue that ultimately affects patient care quality and outcomes. Beyond the implications for patient care, the legal limitations placed on NPs also impact the effectiveness of the healthcare system as a whole. For one, these restrictions can lead to increased costs for patients and the healthcare system due to the necessity for physician involvement in cases where NPs could effectively manage care independently. This model creates additional layers of bureaucracy that can complicate care delivery and inflate healthcare costs, thereby discouraging access to vital services